ALT We administered cortico-cortical paired associative stimulation (ccPAS) over the ventral premotor cortex (PMv) and primary motor cortex (M1) either to reiforce PMv-to-M1 projections (Forward-ccPAS) or to weaken them (Reverse-ccPAS). On each paired‑pulse, we recorded a motor‑evoked potential (MEP) to continuously trace the emergence of corticomotor changes. Forward‑ccPAS induced a gradual and linear increase in MEP size that did not reach a plateau at the end of the protocol and was greater in participants with lower motor threshold. Participants receiving reverse‑ccPAS showed a trend toward inhibition. Our study highlights the facilitatory and inhibitory modulations that occur during ccPAS administration and suggest that online MEP monitoring could provide insights into the malleability of the motor system and protocol’s effectiveness. Our findings open interesting prospects about ccPAS potential optimization in experimental and clinical settings.